This session will explore the preliminary results from the implemention of Public Health Ontario’s (PHO) provincial Uninary Tract Infection program. We will discuss how innovative applications of behavior change theory, implementation science frameworks, and evaluation techniques were used to develop the program within the context of long-term care.
The purpose of the Urinary Tract Infection program is to reduce unnecessary antibiotic use in long-term care. Reducing unnecessary antiobiotic use is an important target for public health interventions as overuse is contributing to Clostridium difficile infection and antibiotic-resistant organisms (AROs).
In 2016, PHO launched an online version of the program and conducted a pilot evaluation with long-term care homes across the province. Initial results from 10 pilot homes indicate an overall rate reduction of urine cultures (29%) and prescriptions for urinary antibiotics (42%).
Presenters: Andrea Chaplin, Bradley Langford, Sam MacFarlane, Jacquelyn Quirk
Andrea Chaplin is an Evaluation Specialist at Public Health Ontario. Her work and training focuses on the application of behaviour change theory and implementation science.
Bradley Langford is an Antimicrobial Stewardship Pharmacist at Public Health Ontario. He is also a Clinical Antimicrobial Stewardship Pharmacist at St. Joseph Health Centre, where he helped to build an antimicrobial stewardship program. He has an interest in innovative ways to implement stewardship and actively spreads the message about appropriate antimicrobial use on social media.
Sam MacFarlane is an Infection Prevention and Control Specialist at Public Health Ontario. Sam’s recent work has focused on strengthening PHO’s Urinary Tract Program and supporting the adoption of implementation science within the Infection Prevention and Control (IPAC) Department.
Jacquelyn Quirk is an Evaluation Specialist at Public Health Ontario, where she works on applying implementation science approaches to the work of the IPAC Department.
By the end of this session, participants will be able to:
- Describe the public health impact associated with the overuse of antibiotics in long-term care.
- List five key target areas of PHO’s UTI program that can minimize unnecessary antibiotic prescribing and strategies that can support change.
- Explain a stepped approach to incorporating theory and evidence into program design as well as describe practical frameworks and data sources that can assist with this process.
- Describe practical examples of how embedding evaluation into all phases of program development can contribute to better outcomes.
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Public Health Ontario is committed to complying with the Accessibility for Ontarians with Disabilities Act (AODA). If you require accommodations to participate in this event, please contact 647-260-7100